They were beautifully made privately supplied custom made devices from a well known manufacturing lab. I’ve seen similar things given out by private practitioners, so I think it is a bit false to call them NHS orthotics.
I must say that some of the NHS orthotics I see some patients with now are excellent and a huge improvement on the insoles above.
Orthotics is a Medical Specialty within the NHS and Orthotists work with Orthopaedic Surgeons and Physiotherapists to provide a range of orthotic supports.
Although many people try over the counter supports first, these are often not as successful as using custom-made products as the support is not in exactly the right place on the foot or is too big or too small.
Custom Orthotics are often referred to as arch supports and are designed to make daily activities such as standing, walking or running more comfortable and should only ever be prescribed after careful assessment of your problem and a gait analysis to identify your exact requirements.
Possibly the most common use for orthotics is to bring relief from foot pain, in particular heel or arch pain which so many people suffer from.
Other conditions that orthotics are designed to help are bunions, chronic low back pain, flat feet, shin splints, feet that point in or out excessively when walking, frequent ankle sprains and problems causing shoes to wear on one side more quickly than the other.

A badly fitting, over the counter product may cause more harm than good so it is important to get correct advice on the right type of orthotic for your problem from the start. Bespoke OrthoticsThe London Orthotic Consultancy produces a range of bespoke orthotic products that treat a large number of adult and paediatric medical conditions.PlagiocephalyThe London Orthotic Consultancy has over a decade of experience in treating babies that have the condition termed Positional Plagiocephaly. LOC is a private clinic that provides bespoke orthotic treatments for a wide range of adult and paediatric conditions. My only complaint would be sometimes not enough thought is given to the type of shoe the orthotics are going to be worn with.
The first group I will prescribe orthotics to fit the type of shoe that that patient normally wears.
These are used to help patients in NHS Trust Hospitals such as the Royal National Orthopaedic Hospital (RNOH) where they are available to patients with problems arising from conditions including Diabetes, Rheumatoid Arthritis or a Scoliotic Spine and which are often complex. Pectus treatmentThe London Orthotic Consultancy has pioneered the non-surgical treatment of Pectus Excavatum and Pectus Carinatum. It was founded in 2004 by four specialist clinicians who worked for a London hospital, where they ran a highly-regarded orthotic department that was considered an international centre of excellence in the field of orthotics and rehabilitation.

The original clinic in Kingston-upon-Thames remains its headquarters and provides clinical treatments for Positional Plagiocephaly, Pectus Deformities, Posture-related Back Pain, Sports Injuries and for a wide variety of medical conditions that can be treated by Bespoke Orthotics. The second group have to modify the type of shoe they wear and are perhaps prescribed a slightly more bulky orthotic. They weren’t even given as a temporary option until something more permanent could be made. The third group however with significant problems are prescribed an orthotic which I think is needed and then the shoes have to be purchased to fit the orthotic.

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